Cerebral vein and cerebral venous sinus thrombosis is an uncommon type of clot. Ppt cavernous sinus thrombosis free download as powerpoint presentation. The cavernous sinus is one of the dural venous sinuses of the head. Cavernous sinus thrombosis images bmj best practice. The blood drains it into other blood vessels that carry it back to the heart. Other causes include prothrombotic disorders, anemia and. Infection can spread to the cavernous sinus either as an extension of thrombophlebitis or by septic emboli. Cavernous sinus thrombosis is a condition where a blood clot forms in the region under your brain and at the back of the eye socket. Cavernous sinus thrombosis definition of cavernous sinus. Its marked by a blood clot behind your eyes or at the base of your skull. Cavernous sinus thrombosis cst is the formation of a blood clot within the cavernous sinus, a cavity at the base of the brain which drains deoxygenated blood from the brain back to the heart. A cavernous sinus thrombosis can be fatal and must be treated aggressively with. Cavernous sinus thrombosis symptoms, diagnosis and treatment.
Cavernous sinus thrombosis is a potentially lifethreatening condition that can happen after an infection in your head. Departmental guidelines anatomy cavernous sinus 2cm in length, height of 1cm paired venous sinus, on either side of body of sphenoid. Cavernous sinus thrombosis cst is a rare condition, most commonly infectious in nature, and the diagnosis on imaging is not always straightforward. Cavernous sinus thrombosis cst is a rare condition, defined as a septic thrombophlebitis of the cavernous sinus. Cavernous sinus thrombosis is a blood clot in an area at the base of the brain. The intracavernous internal carotid artery with its periarterial sympathetic plexus runs between the venules of the parasellar venous plexus fig. Cavernous sinus thrombosis an overview sciencedirect. This area also contains nerves that control vision and eye movements.
Cavernous sinus trombosis dr munish kumar g b pant delhi. An infected embolus that forms in a facial or orbital vein can readily pass into the cavernous sinus via an ophthalmic vein because these veins do not have valves. It is the least common dural venous sinus thrombosis, accounting for cavernous sinus thrombosis is typically caused by an infection that has spread beyond the face, sinuses, or teeth. It is caused by a bacterial infection that typically originates in. Cavernous sinus thrombosis is a very rare, typically septic thrombosis of the cavernous sinus, usually caused by nasal furuncles or bacterial sinusitis.
Septic cavernous sinus thrombosis cst related to dental infection is a rare clinical event. Cavernous sinus thrombosis cst is the formation of thrombus clot within the cavernous sinus, which can either be septic or aseptic. Cavernous sinus thrombosis the veins of the face drain blood into the cavernous sinus via the superior ophthalmic vein. Cavernous sinus trombosis dr munish kumar g b pant delhi 2. A cavernous sinus thrombosis is usually a complication of an infection of the central face, paranasal sinuses, bacteremia, trauma, and infections of the ear or maxillary upper teeth. As such, infections of the face particularly those involving the danger triangle orbits, nasal sinuses, and superior part of the face can cause a cavernous sinus thrombosis. The origin of aseptic cavernous sinus thrombosis is usually through trauma or a prothrombotic. Cavernous sinus thrombosis statpearls ncbi bookshelf. Mar 22, 2018 cavernous sinus thrombosis is a potentially lifethreatening condition that can happen after an infection in your head.
This article is from journal of the korean association of oral and maxillofacial surgeons, volume 40. Cavernous sinus thrombosis cavernous sinus thrombosis is a specialised form of cerebral venous sinus thrombosis, where there is thrombosis of the cavernous sinus of the basal skull dura, due to the retrograde spread of infection and endothelial damage from the danger triangle of the face. Ppt cavernous sinus thrombosis human head and neck. See that article for a discussion of the larger clinical entity. A major blood vessel called the jugular vein carries blood through the cavernous sinuses away from the brain. Potential causes of cavernous sinus syndrome include metastatic tumors, direct extension of nasopharyngeal tumours, meningioma, pituitary tumors or pituitary apoplexy, aneurysms of the intracavernous carotid artery, carotid cavernous fistula, bacterial infection causing cavernous sinus thrombosis, aseptic cavernous sinus thrombosis, idiopathic. The carotid siphon of the internal carotid artery, and cranial nerves iii, iv, v branches v 1 and v 2 and vi all pass through this blood filled space nearby structures. Septic thrombosis of the cavernous sinuses cardiology. Cavernous sinus thrombosis article about cavernous sinus. Within the lumen of the cavernous sinuses pass the horizontal segment of the internal carotid artery, the sympathetic plexus and cranial nerve vi. Cavernous sinus thrombosis cst is a rare condition, usually results from a late complication of an infection of the paranasal sinuses. Get a printable copy pdf file of the complete article 537k, or click on a page image below to browse page by page. A cst is generally a sudden and severe process with high rates of morbidity and mortality.
The clinical features and imaging appearances of cavernous sinus lesions and common cavernous sinus diseases. These clots obstruct the vein in the aforementioned area of your body. Cavernous sinus thrombosis radiology reference article. Sinusitis, most commonly sphenoid and ethmoid infections, is a common nidus in infections that preclude cavernous sinus thrombosis. Cavernous sinus anatomy large venous space situated in the middle cranial fossa, on either side of body of the sphenoid bone. The cavernous sinus is one of the several cerebral veins and cavernous sinus thrombosis is a specific type of cerebral venous sinus thrombosis. Jul 16, 2018 cavernous sinus thrombosis is usually a late complication of an infection of the central face or paranasal sinuses. Cavernous sinus thrombosis is typically caused by an infection that has spread beyond the face, sinuses, or teeth.
Download fulltext pdf cavernous sinus thrombosis article pdf available in western journal of medicine 31. Cavernous sinus thrombosis is a very rare but extremely dangerous major complication of head and neck infections. The patient had been taking deferoxamine for hemochromatosis, and this chelating agent may have been the predisposing factor in developing mucormycosis. Full text full text is available as a scanned copy of the original print version. Cavernous sinus thrombosis an overview sciencedirect topics. Pyrrolidinomethyl tetracycline in cavernous sinus thrombosis. Severe infection involving complications of paranasal sinus and facial. Cavernous sinus thrombosis eye disorders merck manuals.
Cavernous sinus thrombosis cst was initially described by bright in 1831 as a complication of epidural and subdural infections. The dural sinuses are grouped into the sagittal, lateral including the transverse, sigmoid, and petrosal sinuses, and cavernous sinuses. Jr the prognosis and treatment of cavernous sinus thrombosis. Pdf cavernous sinus thrombosis cst is a rare condition, usually results from a late complication of an infection of the paranasal sinuses. Cavernous sinus thrombosis cst is a rare, lifethreatening disorder occurring as a result of sepsis or. The prevalence of septic cavernous sinus thrombosis is most common among men 21% vs 10%, mainly because of a higher frequency of ear, nose, and throat infections in this population. A preliminary diagnosis of extensive intracranial venous thrombosis was confirmed on magnetic resonance imaging. The cavernous sinuses are hollow spaces located under the brain, behind each eye socket. Septic thrombosis of the cavernous sinuses or cavernous sinus thrombophlebitis cst is a dramatic and potentially lethal illness, which is still occasionally seen by clinicians.
Cavernous sinus thrombosis symptoms, diagnosis and. Less commonly, infections of the ears or eyes may cause cavernous sinus thrombosis. We discuss the limitations of current neuroimaging techniques in establishing the diagnosis of both cerebral mucormycosis and cavernous sinus thrombosis. Cavernous sinus thrombosis in ent practice juniper publishers. The septic cst is a disease of high morbidity and mortality. Thrombus formation within the cavernous sinus, which may be either septic or aseptic in origin. Cavernous sinus thrombosis synonyms, cavernous sinus thrombosis pronunciation, cavernous sinus thrombosis translation, english dictionary definition of cavernous sinus thrombosis. Cavernous sinus thrombosis symptoms, treatment, causes. We discuss the limitations of current neuroimaging techniques in establishing the diagnosis of both cerebral mucormycosis and.
It is the least common dural venous sinus thrombosis, accounting for thrombosis was confirmed on magnetic resonance imaging. Cavernous sinus thrombosis is usually a late complication of an infection of the central face or paranasal sinuses. Venous block oedema of eye lids, cornea, nose exophthalmos injury causing communication between. Cavernous sinus thrombosis is usually caused by the spread of bacteria from infections of the face and orbit including the skin of the nose, orbit, or sinus. Other causes include bacteremia, trauma, and infections of the ear or maxillary teeth. This is a rare disorder and can be of two typesseptic cavernous thrombosis and aseptic cavernous thrombosis. Most commonly the form is of septic cavernous sinus thrombosis. This condition is uncommon but a serious one and affects both children and adults. Cavernous sinus thrombosis stellenbosch university. Abstractcavernous sinus thrombosis not only presents with. Get a printable copy pdf file of the complete article.
The abducens nerve runs lateral to the internal carotid artery, but medial to the oculomotor and trochlear nerves and the ophthalmic and maxillary. Jul 16, 2018 cavernous sinus thrombosis cst was initially described by bright in 1831 as a complication of epidural and subdural infections. Cavernous sinus thrombosis is generally a fulminant process with high rates of morbidity and mortality. The cavernous sinuses consist of extradural venous plexuses surrounded by a dural fold. Cavernous sinus thrombosis cst was first described by bright in 18311. Cavernous sinus thrombosis is a very rare, lifethreatening condition that can affect adults and children in cavernous sinus thrombosis, a blood clot blocks a vein that runs through a hollow. Diagnosis and management of cerebral venous thrombosis. The most common initial symptom of cavernous sinus thrombosis is a headache. Case report bilateral cavernous sinus thrombosis and.
Traversed by numerous trabeculae, dividing it into a several caverns spaces, hence cavernous sinus relations. The two cavernous sinuses are located on both sides of the sella turcica. Nov 05, 2017 cavernous sinus thrombosis is a condition where a blood clot forms in the region under your brain and at the back of the eye socket. It is a network of veins that sit in a cavity, approximately 1 x 2 cm in size in an adult. Paired venous sinus, on either side of body of sphenoid. Cavernous sinus thrombosis is a specialised form of cerebral venous sinus thrombosis, where there is thrombosis of the cavernous sinus of the basal skull dura, due to the retrograde spread of infection and endothelial damage from the danger triangle of the face. It is caused by a bacterial infection that typically originates in the face, sinuses, ears, or orbits 1. The cavernous sinus receives blood from veins of the face and brain. Severe infection involving complications of paranasal sinus and facial infections e. Symptoms often start within a few days of developing an infection in the face or skull, such as sinusitis or a boil. Sepsis dangerous area of face, paranasal sinuses, nasal cavities neurological severe pain eye anf forehead ophthalmic n.
Cavernous sinus thrombosis is a very serious condition. Cavernous sinus thrombosis is a very rare disorder in which a blood clot thrombosis forms in the cavernous sinus a large vein at the base of the skull. Cavernous sinus thrombosis eye disorders msd manual. Symptoms and signs include pain, proptosis, ophthalmoplegia, vision loss, papilledema, and fever. Introduction in 1734, in a book named an anatomical exposition of the structure of the human body by james benignus winslow 16691770 began the first and only usage of the term cavernous sinus, thinking that it resembled corresponding author. Ppt cavernous sinus thrombosis human head and neck human. This patient had squeezed a pimple near her left nasolabial fold 3 days prior. Cavernous sinus thrombosis is a blood clot in the cavernous sinuses.
Before the availability of antimicrobial agents, mortality from cst was near 100%, but it markedly decreased to. This patient had squeezed a pimple near her left nasolabial fol. An algorithm for diagnosis and management of patients with cerebral venous sinus thrombosis is described. This usually develops as a sharp pain located behind or around the eyes that steadily gets worse over time.